LEONARD MACRINA (NPI# 1962432690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962432690 |
| Entity Type | Individual |
| Full Name | LEONARD MACRINA |
| Credential | PT |
| Practice Address |
110 Clematis Ave Suite 2 Waltham MA 02453-7013 |
| Practice Telephone | 6179922984 |
| Mailing Telephone | 6179922984 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PTH4256 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
17706 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS OF AL | 51530163 | 01 |
| AL | AETNA | 7878489 | 01 |
| AL | 890016400 | 05 |
| Street Address |
110 CLEMATIS AVE SUITE 2 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-7013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629491444 | David Tilley | Physical Therapist | 110 Clematis Ave, Waltham, MA 02453 | 2014-01-30 |
| 1952645319 | Michael M. Reinold | Physical Therapist | 110 Clematis Ave, Waltham, MA 02453-7013 | 2012-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205324 | Foredefi Athletic | Physical Therapist | 48 Eddy St, Attleboro, MA 02703-2406 | 2019-09-23 |
| 1508428145 | Victor Wei | Physical Therapist | 22 Town Farm Rd, Westford, MA 01886-2365 | 2019-07-03 |
| 1194380766 | Continuous Motion Physical Therapy | Physical Therapist | 10 Millenium Drive, Bourne, MA 02532 | 2019-05-08 |
| 1881933273 | Jennifer B Green | Physical Therapist | 9 Whalen Rd, Hopkinton, MA 01748-1719 | 2013-02-05 |
| 1720202088 | Maryellen Ernst | Physical Therapist | 28 Norfolk Ave, Swampscott, MA 01907-1805 | 2007-04-11 |
| 1972649440 | Laurence Paul Greenberg | Physical Therapist | 170 Pond Rd, West Tisbury, MA 02575-0130 | 2007-01-30 |
| 1285723049 | Richard Qualter | Physical Therapist | 160 Route 137, East Harwich, MA 02645-1316 | 2006-10-12 |
| 1225098544 | Michael Roger Garrett | Physical Therapist | 23 W Chester St, Apartment 5, Nantucket, MA 02554-3680 | 2006-03-23 |
| 1730151762 | Daniel Murray | Physical Therapist | 6 Grove St, Norwell, MA 02061-1534 | 2006-02-03 |
| 1245210715 | Jay Scott Cloutier | Physical Therapist | 66 Mdg/sgo, 90 Vandeberg Ave, Hanscom Afb, MA 01731 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.